DEPARTMENT OF HEALTH SERVICES
ORIGINAL POSTING DATE:
ORIGINAL FILING START DATE:
01/06/2015 - UNTIL THE NEEDS OF THE SERVICE ARE MET AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE.
DEPARTMENTAL PROMOTIONAL JOB OPPORTUNITY
JOB OPPORTUNITY INFORMATION:
Restricted to permanent employees of the Department of Health Services who have successfully completed their initial probationary period. Current employees in the unclassified service who meet the following criteria also qualify to participate in this exam: Unclassified employees who have attained permanent County status on a classified position by successful completion of the initial probationary period, with no break in service since leaving the classified service; Full-time employees in the unclassified service with at least six months of full-time experience in the unclassified service at the time of filing or by the last day of filing.
This experienced level class provides professional nursing care and services to patients in a variety of settings. This level RN integrates theoretical knowledge with clinical experience, utilizing a deliberate systematic approach in the delivery of patient care, and demonstrates leadership, experience, and holistic approaches to outcome oriented management of patient care. Practice is guided by increasing awareness of patients and patient responses in recurrent situations. Positions allocable to this experienced-level class report to a supervisory or management-level nurse or provider. Positions apply critical thinking and decision making skills in the provision of nursing care to patients under minimal supervision. The scope of practice at this level involves increasingly complex patient assessment. Positions provide a more holistic approach to patient care, and independently assess, plan, implement, and evaluate care as part of an interdisciplinary team. Positions also precept, coach, and lead other nursing and non-nursing staff, demonstrating effective leadership style and independent judgment and action. Positions serve as a professional role model and an effective resource person for others. Incumbents effectively utilize resources and anticipate and prevent barriers to care and communicate to appropriate personnel. Positions adhere to patient privacy, confidentiality, and security guidelines.
Essential Job Functions
Evaluation of the nature and extent of nursing issues presented by a patient for the purpose of patient care planning.Assessment includes identifying less obvious or common relationships in collected data and taking appropriate steps to mitigate their impact on the provision and quality of nursing services.In addition, at this level, assessment involves predicting diverse patient care needs, potential need for care, and the validation of data collected by others. Develops interactive partnerships with patient and family to obtain complete health history, including present illness, current health status, and past medical, psychosocial, spiritual and family histories. Considers patients' values and beliefs when providing care. Assesses, evaluates and documents the patients' physical, medical, and psychosocial circumstances; identifies economic or cultural barriers and determines their influence on the provision of care. Refers patients based on patients' needs and risk factors involved. Analyzes all available patient information including observations by other health care team members and patient's significant others. Recognizes deviations from baseline and interprets changes to determine a patient's risk of progressing to emergent situation. Readily identifies the rapid state in which a patient's condition can change.
Developing a plan of care based on the assessment process. The purpose is to collaborate with all who are involved in the care of this person (interdisciplinary team, patient, family, and significant others) to provide the most effective treatment. At this level, incumbents develop a comprehensive plan of care and prescribe nursing interventions that move the patient closest to desired outcomes. Interventions are individualized and address both short- and long-term needs. Evaluates and modifies plans of care, in collaboration with the interdisciplinary team, and develops measurable long- and short-term goals.Evaluates potential impact of high risk factors and other concerns on desired outcomes and consults with interdisciplinary team to develop appropriate interventions. Modifies plans of care based on reassessment findings and specific patient care needs and changes in the medical treatment plan including clinical pathways as appropriate. Identifies discharge planning needs and incorporates identified needs into the patient's plan of care.
Interventions that a nurse performs for a patient, including treatments, procedures, medication administration, education, referrals, and discharge planning. At this level, incumbents lead others during situations which require immediate, independent interventions and for those which call for planned interventions. Provides individualized, specialized nursing care and administers medications and treatments to patients as prescribed; observes patients' response to interventions and monitors for side effects of medication administration. Utilizes a variety of approaches and techniques in accomplishing stated goals and/or objectives. Recognizes changes in patients' conditions and appropriately intervenes. Performs effectively in emergency situations. Distinguishes between situations which call for immediate, independent interventions and those which call for planned interventions. Reports progress towards identified goals to members of the health care team. Coordinates delivery of patient care with other departments, services, and disciplines to achieve optimal patient outcomes. Provides patient education using teaching strategies where learning objectives are met for both the patient and their significant others. Counsels patients and their significant others or other care givers concerning patient care and regimen, treatment plans, policies and procedures, and specialized patient needs. Recognizes safety hazards in the patient care environment and takes timely and appropriate intervention.
Three years of full-time experience as a Registered Nurse I*.
See Special Requirement Information.
License(s) and Certificate(s) required:
A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.
Current certification issued by the American Heart Associations' Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.
A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
Physical Class III – Moderate:
Includes standing or walking most of the time, with bending, stooping, squatting, twisting, and reaching; includes working on irregular surfaces, occasionally lifting objects weighting over 25 pounds, and frequent lifting of 10-25 pounds.
Special Requirement Information:
- To qualify, applicants must have LA County status as a Registered Nurse I, as evidenced by holding such payroll title. NO OUT-OF-CLASS OR VERIFICATION OF EXPERIENCE LETTER WILL BE ACCEPTED.
Please ensure the License and Certification Section of the required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required licensed as specified in the Selection Requirements. Applicants MUST attach a legible photocopy of the required license/BLS certification to their application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence of BLS certification will be rejected.
The required license and certification MUST be current/active and unrestricted; a conditional, provisional, probationary or restricted license or certification will NOT be accepted.
The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing and BLS certification must be present during the selection process and/or prior to appointment.
**In order to receive credit for a college degree on this examination, you must include a legible photocopy of your "official" diploma(s), "official" transcripts, or "official" letter(s) from an accredited institution which shows the area of specialization, at the time of filing or within 15 calendar days of filing your application online.
APPLICANTS MUST MEET THE SELECTION REQUIREMENTS AT THE TIME OF FILING. NO WITHHOLD IS ALLOWED FOR THIS EXAMINATION.
Credit will be given to applicants who possess the following desirable qualifications:
**Bachelor of Science degree in Nursing (BSN) or **Master of Science degree in Nursing (MSN) from an accredited institution.
Part I - An evaluation of training and experience based upon application information and desirable qualifications weighted 50%.
Part II - An Appraisal of Promotability to evaluate job preparation/professional nursing practices; interpersonal and oral/verbal communication and comprehension; analytical and decision-making ability; work skills; adaptability, dependability and ethics; and leadership weighted 50%.
Candidates must achieve a passing score of 70% or higher on each weighted part of the examination in order to be placed on the eligible register.
Applications will be processed on an "as received" basis and those receiving a passing score will be promulgated to the eligible register accordingly.
The names of candidates will appear in the order of their score group for a period of twelve (12) months following the date of eligibility.
No person may compete in this examination more than once every twelve (12) months.
Appointees may be required to work any shift, including evenings, nights, weekends, and holidays.
The resulting eligible register for this examination will be used to fill vacancies in the Department of Health Services as they occur.
APPLICATION AND FILING INFORMATION:
APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX OR IN PERSON WILL NOT BE ACCEPTED.
Applications electronically received after 5:00 p.m., PST on the last day of filing will not be accepted.
Apply online by clicking the "APPLY" tab for this posting. You can also track the status of your application using this website.
Falsification of any information may result in disqualification or recession of appointment.
Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, description of work performed, and salary earned. If your application is incomplete, it will be rejected.
If you are unable to attach documents to your application, you must email the Exam Analyst, Oscar Ramirez at ORamirez@dhs.lacounty.gov within 15 calendar days of filing online. Please include the exam number and the exam title.
SOCIAL SECURITY NUMBER LANGUAGE:
All applicants must enter a valid social security number at the time of filing. Entering anything other than a valid social security (i.e. 000-00-0000, 111-11-1111, etc.) will result in an automatic rejection of your application.
COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES:
For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County.
NO SHARING USER ID AND PASSWORD:
All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record.
CALIFORNIA RELAY SERVICES PHONE:
Oscar Ramirez, Exam Analyst